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KMID : 1141920170330030115
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Annals of Coloproctology
2017 Volume.33 No. 3 p.115 ~ p.118
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Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor
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Martins Bruno Augusto Alves
Coura Marcelo de Melo Andrade
de Almeida Romulo Medeiros
Moreira Natascha Mourao
de Sousa Joao Batista
de Oliveira Paulo Goncalves
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Abstract
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Transanal endoscopic microsurgery is considered a safe, appropriate, and minimally invasive approach, and complications after endoscopic microsurgery are rare. We report a case of sepsis and pneumoretroperitoneum after resection of a rectal lateral spreading tumor. The patient presented with rectal mucous discharge. Colonoscopy revealed a rectal lateral spreading tumor. The patient underwent an endoscopic transanal resection of the lesion. He presented with sepsis of the abdominal focus, and imaging tests revealed pneumoretroperitoneum. A new surgical intervention was performed with a loop colostomy. Despite the existence of other reports on pneumoretroperitoneum after transanal endoscopic microsurgery, what draws attention to this case is the association with sepsis.
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KEYWORD
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Transanal endoscopic microsurgery, Retropneumoperitoneum, Sepsis
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